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Evidence-Based Practice Recommendations for Hydration in Children and Adolescents With Cancer Receiving Intravenous Cyclophosphamide
Hemorrhagic cystitis is a known complication of cyclophosphamide, an antineoplastic agent used to treat a variety of oncologic diseases in children. Hydration can prevent hemorrhagic cystitis; however, use varies in clinical practice. A team was assembled to develop evidence-based practice recommendations to address the following question: in a population of children with cancer, what is the appropriate pre- and posthydration for the administration of different dose levels of intravenous cyclophosphamide to prevent bladder toxicity? The purpose was to identify the appropriate rate, duration, and route of hydration to preve...
Source: Journal of Pediatric Oncology Nursing - June 13, 2014 Category: Nursing Authors: Robinson, D., Schulz, G., Langley, R., Donze, K., Winchester, K., Rodgers, C. Tags: Articles Source Type: research

Central Venous Catheter Flushing Recommendations: A Systematic Evidence-Based Practice Review
Conclusion: Weak recommendation for daily flushing of noninfusing Broviac/Hickman catheters and accessed implanted ports may be made. There was not sufficient evidence for heparin volume or concentration recommendations. No recommendations can be reported for peripherally inserted central venous catheters. Further research is indicated for CVC flushing procedures in pediatric hematology oncology patients. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - June 13, 2014 Category: Nursing Authors: Conway, M. A., McCollom, C., Bannon, C. Tags: Review Source Type: research

Evidence-Based Practice Projects in Pediatric Oncology Nursing
This introduction article discusses the history and importance of evidence-based practice, along with describing the process that 6 nurse-led teams completed for the systematic reviews listed in this journal issue. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - June 13, 2014 Category: Nursing Authors: Rodgers, C., Withycombe, J. S., Hockenberry, M. J. Tags: Guest Editorial Source Type: research

When Grief Turns Into Love: Understanding the Experience of Parents Who Have Revived After Losing a Child Due to Cancer
A child’s death caused by cancer generates a deep impact on his/her parents, who can be affected by serious health problems due to an impairment of their lifestyle. Notwithstanding their suffering, some parents manage to overcome it and discover a new meaning for their lives. The goal of this phenomenological study is to understand the lived experiences that help parents to revive after the death of their child due to cancer. The participants were fathers and mothers who believe that they have elaborated their mourning. Their lived experiences were collected in interviews they had previously agreed to give. The quest...
Source: Journal of Pediatric Oncology Nursing - March 28, 2014 Category: Nursing Authors: Vega, P., Rivera, M. S., Gonzalez, R. Tags: Articles Source Type: research

The Impact of a Web-Based Educational and Support Intervention on Parents' Perception of Their Children's Cancer Quality of Life: An Exploratory Study
The purpose of this exploratory study was to (1) describe the development of an evidence-based web educational and support intervention for families of children with cancer and (2) assess the favorability of the website, and whether there was any impact on the cancer communication aspect of the quality of life instrument. In the study, 38 persons participated—15 mothers, 12 fathers, and 11 children. The favorability score of the website was found to be very high. The mothers rated the website most favorable, followed closely by the fathers. Furthermore, even though it was not significant, an increase was found in the...
Source: Journal of Pediatric Oncology Nursing - March 28, 2014 Category: Nursing Authors: Sigurdardottir, A. O., Svavarsdottir, E. K., Rayens, M. K., Gokun, Y. Tags: Articles Source Type: research

Determination of Social Support Needs and Expectations of Mothers of Children With Cancer
In conclusion, all mothers felt that they needed social support, but their rate of receiving social support was lower than their needs. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - March 28, 2014 Category: Nursing Authors: Altay, N., Kilicarslan, E., Sarı, C., Kisecik, Z. Tags: Articles Source Type: research

Children Undergoing Cancer Treatment Describe Their Experiences of Comfort in Interviews and Drawings
Children with cancer often undergo a long course of treatment, described as painful, and associated with feelings of discomfort and need of comfort. The aim of this descriptive interview study was to investigate how children, aged 3 to 9 years, undergoing cancer treatment describe their experience of comfort. The children were interviewed and asked to make drawings. Data were content analyzed and four themes were constructed—enduring discomfort, expressing discomfort, finding comfort, and comforting others. The findings show that the children endured discomfort during treatment, and were sometimes able to express it....
Source: Journal of Pediatric Oncology Nursing - March 28, 2014 Category: Nursing Authors: Angstrom-Brannstrom, C., Norberg, A. Tags: Articles Source Type: research

Feasibility and Preliminary Findings From a Pilot Study of Allostatic Load in Adolescent-Young Adult Childhood Cancer Survivors and Their Siblings
This study aimed to (a) evaluate the feasibility of studying AL in AYA cancer populations and (b) briefly describe preliminary findings concerning psychological distress, cancer-related stress symptoms, health behavior and AL in AYA survivors and their siblings within the context of a small pilot study. The results support the feasibility of studying AL in AYA survivors and their siblings, and also suggest that further study of AL and risk for cardiovascular disease in both groups is indicated. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - March 28, 2014 Category: Nursing Authors: Santacroce, S. J., Crandell, J. B. Tags: Articles Source Type: research

Anxiety, Depression, Stress, and Cortisol Levels in Mothers of Children Undergoing Maintenance Therapy for Childhood Acute Lymphoblastic Leukemia
The purpose of this study was to compare anxiety, depression, and stress between mothers of children during maintenance treatment for acute lymphoblastic leukemia (ALL) and matched controls. Twenty-six mothers were recruited from the hematology unit at a children’s hospital, and 26 mothers were recruited from the community. Participants were matched to their child’s age and gender. Mothers completed the Hospital Anxiety and Depression Scale, the Perceived Stress Sale, and collected salivary cortisol 4 times a day for 3 consecutive days. Compared with mothers of healthy children, anxiety scores did not differ (P...
Source: Journal of Pediatric Oncology Nursing - March 7, 2014 Category: Nursing Authors: Neu, M., Matthews, E., King, N. A., Cook, P. F., Laudenslager, M. L. Tags: Articles Source Type: research

Caregivers' Perception of Drug Administration Safety for Pediatric Oncology Patients
Medication errors (MEs) are reported to be between 1.5% and 90% depending on many factors, such as type of the institution where data were collected and the method to identify the errors. More significantly, the risk for errors with potential for harm is 3 times higher for children, especially those receiving chemotherapy. Few studies have been published on averting such errors with children and none on how caregivers perceive their role in preventing such errors. The purpose of this study was to evaluate pediatric oncology patient’s caregivers’ perception of drug administration safety and their willingness to ...
Source: Journal of Pediatric Oncology Nursing - March 7, 2014 Category: Nursing Authors: Harris, N., Badr, L. K., Saab, R., Khalidi, A. Tags: Articles Source Type: research

Exploring Parental Factors Related to Weight Management in Survivors of Childhood Central Nervous System Tumors
Childhood central nervous system tumor survivors (CCNSTS) are at risk for adverse health issues. Little research has been conducted to explore the role of parental factors in weight management to mitigate adverse health outcomes. We conducted 9 group interviews (n = 20) with CCNSTS, their parents, and health care providers to ascertain parental factors that may influence weight management practices in CCNSTS. Three main themes were identified: parenting style, parent–child connectedness, and food and physical activity (PA) environment. Although most parents adopted an authoritative parenting style related to diet and...
Source: Journal of Pediatric Oncology Nursing - March 7, 2014 Category: Nursing Authors: Santa Maria, D., Swartz, M. C., Markham, C., Chandra, J., McCurdy, S., Basen-Engquist, K. Tags: Articles Source Type: research

Cerebellar Mutism After Posterior Fossa Tumor Resection: Case Discussion and Recommendations for Psychoeducational Intervention
This study illustrates a typical case of cerebellar mutism in a child after resection of medulloblastoma, followed by a review of associated symptoms, clinical course, and modulating factors. Additionally, recommendations for providing educational support to children with cerebellar mutism are explored. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - March 7, 2014 Category: Nursing Authors: Ross, S. G., Northman, L., Morris, M., Green, A. L., Ullrich, N. J. Tags: Articles Source Type: research

Quality of Life and Symptoms in Pediatric Brain Tumor Survivors: A Systematic Review
Little is known about the quality of life of children and youth under the age of 20 who have completed treatment for a pediatric brain tumor. This systematic review was conducted to (a) describe the health-related quality of life (HRQL) outcomes in pediatric brain tumor survivors, (b) identify instruments used to measure HRQL, and (c) determine the relationship between symptoms and HRQL. Using a systematic search and review methodology, databases searched included CINAHL, Medline, Embase, and PsycInfo. No date restrictions were used. Search results elicited 485 articles, of which16 met the inclusion criteria. Compared with...
Source: Journal of Pediatric Oncology Nursing - March 7, 2014 Category: Nursing Authors: Macartney, G., Harrison, M. B., VanDenKerkhof, E., Stacey, D., McCarthy, P. Tags: Articles Source Type: research

Why Mothers Accompany Adolescent and Young Adult Childhood Cancer Survivors to Follow-up Clinic Visits
Conclusion. Mothers accompany AYAs to survivorship clinic for both maternal/family-focused and survivor-focused reasons that can be incorporated in survivorship and transition care to reflect ongoing communications among survivors, parents, and health care teams. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - February 3, 2014 Category: Nursing Authors: Doshi, K., Kazak, A. E., Hocking, M. C., DeRosa, B. W., Schwartz, L. A., Hobbie, W. L., Ginsberg, J. P., Deatrick, J. Tags: Articles Source Type: research

Eating Behavior and BMI in Adolescent Survivors of Brain Tumor and Acute Lymphoblastic Leukemia
Conclusions: Overweight/obese survivors may attempt to purposefully restrict their food intake and rely less on physiological cues to regulate consumption. Survivors should be screened at follow-up for weight-related concerns. (Source: Journal of Pediatric Oncology Nursing)
Source: Journal of Pediatric Oncology Nursing - February 3, 2014 Category: Nursing Authors: Hansen, J. A., Stancel, H. H., Klesges, L. M., Tyc, V. L., Hinds, P. S., Wu, S., Hudson, M. M., Kahalley, L. S. Tags: Articles Source Type: research